Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $395.98 / $2,263.25	Facility		$104.24	$395.98	$2,263.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $134.63 / $1,273.08	Professional		$104.24	$134.63	$1,273.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $943.44 / $943.44 / $943.44	Professional		$943.44	$943.44	$943.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $403.23 / $976.09	Facility		$203.00	$403.23	$976.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $126.95 / $310.87	Professional		$97.77	$126.95	$310.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $143.15 / $558.33	Facility		$92.60	$143.15	$558.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $122.72 / $175.31 / $324.27	Professional		$122.72	$175.31	$324.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $342.32 / $689.26	Facility		$145.41	$342.32	$689.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.07 / $161.94 / $710.63	Professional		$110.07	$161.94	$710.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $197.99 / $217.79 / $267.29	Professional		$197.99	$217.79	$267.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $227.69 / $435.58	Professional		$178.19	$227.69	$435.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $344.50 / $940.45 / $940.45	Facility		$344.50	$940.45	$940.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $989.95 / $989.95 / $1,484.93	Professional		$989.95	$989.95	$1,484.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.59 / $237.59 / $237.59	Professional		$237.59	$237.59	$237.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.06 / $237.59 / $599.70	Facility		$149.06	$237.59	$599.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $232.73 / $542.59	Professional		$131.47	$232.73	$542.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $694.94 / $694.94 / $694.94	Professional		$694.94	$694.94	$694.94
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $113.45 / $529.71	Professional		$83.16	$113.45	$529.71